上消化道异物的内镜处理——附802例报告

Endoscopic management of foreign bodies in upper gastrointestinal tract: a report of 802 cases

目的 积累内镜诊断及处理上消化道异物的经验。方法 回顾性分析我院 1978年 1月～ 2 0 0 3年 1月 ,总结分析 80 2例吞入异物的患者进行紧急内镜检查和在局麻或全麻下应用辅助器械配合内镜处理异物的情况。结果 80 2例患者中共有 1198件异物 ,其中异物位于食管内 4 2 4件、胃内 6 6 2件、十二指肠 112件。共有 780例 116 7件异物经内镜成功取出 ,未出现严重并发症 ;尚有 2 2例 31件异物 ,因异物尖锐端嵌顿严重等原因未取出。成功率为 97 3%。在取出的异物中 ,最大异物长 2 0cm、宽 4 2cm。结论 应用内镜取出消化道异物是安全、有效的。

Objective To summarize the experiences in diagnosing and removing foreign bodies in the upper gastrointestinal tract. Methods Eight hundred and two cases were examined endoscopically for their ingested foreign bodies from 1978 to 2003. Endoscopy and various instruments for grasping the foreign bodies were used. Results Altogether there were 1 198 pieces of foreign bodies, 424 of which were impacted in the esophagus, 662 in the stomach, and 112 in the duodenum. One thousand one hundred and ninity-eight pieces of foreigen bodies were successfully removed from 780 patients without any complications. But removal of 31 pieces in 22 patients failed because the foreign bodies were impacted in the gastrointestinal tract. The success rate was 97.3%. Among all the foreign bodies taken out, the largest one was 20cm in length and 4.2cm in width. Conclusion Endoscopy could be used safely and effectively in patients with ingested foreign bodies.